Provider Demographics
NPI:1720564644
Name:ALMASRI, ROLA
Entity Type:Individual
Prefix:
First Name:ROLA
Middle Name:
Last Name:ALMASRI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 KERR PKWY APT 91
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-8837
Mailing Address - Country:US
Mailing Address - Phone:412-519-8374
Mailing Address - Fax:
Practice Address - Street 1:50 KERR PKWY APT 91
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-8837
Practice Address - Country:US
Practice Address - Phone:412-519-8374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-13
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR0016527183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist